Doctor Name: | LAURA CHRYSTINE HALL |
NPI Number: | 1164696506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 21305 |
Business Practice Address: | 1850 9th St W Columbia Falls, MT - 599124410 |
Business Phone Number: | 4068923206 |
Business Fax Number: | 4068922381 |
Mailing Address: | 1287 Burns Way, KALISPELL |
State: | MT |
Postal Code: | 599013109 |
Phone Number: | 4067528120 |
Fax Number: | 4067528134 |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 21305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |